Atontamiento miocardico luego del accidente cerebrovascular isquemico / Stunned myocardium after acute ischemic stroke
Medicina (B.Aires)
; 66(3): 249-253, 2006. ilus
Article
in Es
| LILACS
| ID: lil-440705
Responsible library:
BR1.1
RESUMEN
El atontamiento miocárdico, definido como una disfunción contráctil transitoria del miocardio, ha sido demostrado claramente en distintas situaciones clínicas. Sin embargo, el atontamiento miocárdico asociado a un accidente cerebrovascular isquémico ha sido escasamente notificado. Describiremos dos pacientes con diagnóstico de accidente cerebrovascular isquémico agudo que presentaron cambios electrocardiográficos, elevación enzimática y trastornos en la motilidad cardíaca, compatibles con disfunciónmiocárdica. Simultáneamente desarrollaron injuria pulmonar aguda rápidamente reversible, originada probablemente por un doble componente neuro-cardiogénico.
ABSTRACT
The so-called stunned myocardium, defined as transitory myocardial contractile dysfunction, has been clearly demonstrated in diverse clinical situations. However, stunned myocardium related to ischemic stroke has been poorly identified. We describetwo patients with diagnosis of acute ischemic stroke who developed elctrocardiographic changes, cardiac enzyme increasing levels and myocardial dysfunction secondary to abnormal cardiac wall motion. At the same time the patients developed acute lung injury with rapid resolution, perhaps as a consequence of neurocardiogenic components.
Full text:
1
Index:
LILACS
Main subject:
Brain Ischemia
/
Myocardial Stunning
/
Stroke
Type of study:
Diagnostic_studies
/
Prognostic_studies
Limits:
Adult
/
Female
/
Humans
Language:
Es
Journal:
Medicina (B.Aires)
Journal subject:
MEDICINA
Year:
2006
Type:
Article